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. 2021 Jan 15;2021(1):CD012768. doi: 10.1002/14651858.CD012768.pub3

5. Impact of concentrating cerebrospinal fluid on Xpert Ultra and Xpert MTB/RIF sensitivity and specificity.

Covariate (number of studies, participants) Pooled sensitivity (95% CrI) Pooled specificity (95% CrI)
Concentration step, Xpert Ultra
Concentrated specimen (3, 421) 90.5% (76.7 to 97.0) 91.9% (84.5 to 96.1)
Unconcentrated specimen (3, 54) 88.4% (67.8 to 97.5) 88.6% (58.4 to 99.0)
Difference (concentrated minus unconcentrated) 2.6% (−13.9 to 24.1) 3.4% (−9.5 to 32.8)
Probability (concentrated minus unconcentrated) 0.630 0.653
Concentration step, Xpert MTB/RIF
Concentrated specimen (14, 2279) 77.6% (67.2 to 85.9) 97.4% (96.1 to 98.4)
Unconcentrated specimen (17, 1123) 59.4% (48.3 to 70.5) 96.8% (94.0 to 98.7)
Difference (concentrated minus unconcentrated) 18.4% (2.8 to 32.1) 0.6% (−1.7 to 3.6)
Probability (concentrated minus unconcentrated) 0.989 0.696

Abbreviations: Crl: credible interval.